概念化加纳农村的母亲心理健康:一个现实的定性分析
Linda Lucy Yevoo1, Ana Manzano2, Leveana Gyimah3
1Research and Development Division, Dodowa Health Research Centre, Ghana Health Service, Dodowa-Accra, P.O. Box DD1, Ghana.
在低收入国家,母亲的心理健康受到忽视. 将精神和社会支持纳入医疗保健可以改善母亲的心理健康结果和卫生系统的响应能力.
科学领域:
- 全球健康 全球健康
- 孕产妇心理健康 孕产妇心理健康
- 定性研究是指质量研究.
背景情况:
- 在低收入和中等收入国家,母亲的心理健康需求往往被忽视.
- 怀孕和分娩后的心理健康往往仅归因于荷尔蒙变化,淡化了心理社会和精神因素.
- 现有的卫生系统可能无法充分满足孕妇和产后妇女的复杂需求.
研究的目的:
- 探讨加纳孕妇/产后妇女,她们的家庭,环境和医疗保健之间的相互作用.
- 了解背景如何影响女性与公共和替代医疗保健提供者的接触.
- 开发一个程序理论,以提高卫生系统对母亲心理健康的响应能力.
主要方法:
- 这是一项定性研究,采用了6次深入访谈和18次焦点小组讨论.
- 参与者包括孕妇/产后妇女 (n=121),他们的亲属和初级医疗保健提供者.
- 分析利用了现实主义评估的上下文-机制-结果框架和克劳瑟的生长生态学理论.
主要成果:
- 背景因素动态地塑造了分娩经历 (体现,关系性,时间性,空间性,神秘性),影响了妇女的福祉.
- 妇女的时间期望和正式的医疗保健计划之间存在差异.
- 发现了社会支持缺陷以及社会文化信仰,私人提供者和信仰治疗对感知保护的影响.
结论:
- 共同制造特定背景的干预措施,整合孕产妇和心理健康政策至关重要.
- 适应女性对精神和心理健康的看法是提高卫生系统响应能力的关键.
- 解决分娩的心理社会和精神层面对于改善母亲心理健康结果至关重要.
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